51. Shaping Macrophage Plasticity with Iron – Towards a New Therapeutic Approach
- Author
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Francesca Vinchi
- Subjects
0301 basic medicine ,03 medical and health sciences ,Therapeutic approach ,030104 developmental biology ,Oncology ,business.industry ,Medicine ,Hematology ,Plasticity ,business ,Neuroscience ,Macrophage (ecology) - Abstract
Reticulo-endothelial macrophages are central for the regulation of iron homeostasis, thanks to their ability to recycle red blood cell-derived iron. Macrophages are also key innate immune cells which exhibit remarkable functional plasticity. These two roles are tightly interconnected: on the one hand, macrophage polarisation dictates the expression of iron-regulated genes and determines cell iron handling; on the other, iron availability affects immune effector functions. Recent observations support a role for free haem and iron in shaping macrophage plasticity towards an M1-like pro-inflammatory phenotype. These findings have implications for the pathophysiology of sickle cell disease, hallmarked by haemolysis and elevated circulating haem and iron, as well as for the tumour microenvironment, characterised by haemolytic red blood cell extravasation and iron-loaded macrophages. Consistently, haem scavenging suppresses the pro-inflammatory profile of macrophages, reducing chronic inflammation in sickle cell disease, whereas nanoparticle-mediated iron delivery to the tumour microenvironment elicits pro-inflammatory macrophages with tumour killing properties, thus delaying tumour growth. This line of research paved the way for the therapeutic modulation of macrophage plasticity achievable through the application of different iron sources or scavengers/chelators according to the desired beneficial effect.
- Published
- 2018
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